RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 B
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised.
Which of the following precautions should thenurse include in the plan of care to prevent a
Pseudomonas aeruginosa infection? CORRECT ANSWERS Avoid placing plants or flowers in the
client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and cause life-
threatening complications. The nurse should ensure no one brings live plants or flowers into the
client's room.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the
following instructions should the nurse include in the teaching? CORRECT ANSWERS Increase fiber
intake to at least 30 g per day.
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect? CORRECT ANSWERS Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001
and 1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at
how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.) CORRECT ANSWERS 167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
,RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 B
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
A nurse is caring for a client who is 4 hr postoperative following a totalvaginal hysterectomy.Click to
highlight the findings the nurse should report to the provider immediately. CORRECT ANSWERS
Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
Rational:
Perineal pad saturated with blood, large clots present, blood pressure trend, and heart rate of
102/min are correct. The client has manifestations of vaginal hemorrhage, including vaginal bleeding,
blood clots, reduced blood pressure, and tachycardia. The nurse should report these findings to the
provider.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client's bedside? CORRECT ANSWERS Suction machine
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to
clear the client's airway as needed and reduce the risk for aspiration.
A nurse is providing discharge teaching about infection prevention to a client who is receiving
chemotherapy. Which of the following statements by the client indicates understanding of the
teaching? CORRECT ANSWERS "I can ask a friend to change my cats litter box."
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplasmosis. Therefore,
the client should wear gloves or avoid changing the pet's litter box.
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take? CORRECT ANSWERS Check that one finger fits between the
cast and the leg.
Rational:
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 B
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is
not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after
application.
A nurse is performing a preoperative assessment for a client. The nurse should identify that an
allergy to which of the following foods can indicate a latex allergy? CORRECT ANSWERS Avocados
Rational:
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies
to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization
for heart failure. Based on the information in the client's chart, which of the following findings should
the nurse report to the provider? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) CORRECT ANSWERS Heart rate
55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it can
indicate the development of digoxin toxicity. The nurse should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for
the management of bone cancer pain. Thenurse should explain that applying a TENS unit to the
painful area has which of the following effects? CORRECT ANSWERS A tingling sensation replacing
the pain
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasing the current
until the "pins and needles" sensation overrides the pain.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a componentof Cushing's triad? CORRECT ANSWERS
Bradycardia
Rational:
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
A nurse is planning care for a client who has extensive burn injuries and is immunocompromised.
Which of the following precautions should thenurse include in the plan of care to prevent a
Pseudomonas aeruginosa infection? CORRECT ANSWERS Avoid placing plants or flowers in the
client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and cause life-
threatening complications. The nurse should ensure no one brings live plants or flowers into the
client's room.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the
following instructions should the nurse include in the teaching? CORRECT ANSWERS Increase fiber
intake to at least 30 g per day.
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect? CORRECT ANSWERS Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001
and 1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at
how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.) CORRECT ANSWERS 167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
,RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 B
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
A nurse is caring for a client who is 4 hr postoperative following a totalvaginal hysterectomy.Click to
highlight the findings the nurse should report to the provider immediately. CORRECT ANSWERS
Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
Rational:
Perineal pad saturated with blood, large clots present, blood pressure trend, and heart rate of
102/min are correct. The client has manifestations of vaginal hemorrhage, including vaginal bleeding,
blood clots, reduced blood pressure, and tachycardia. The nurse should report these findings to the
provider.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client's bedside? CORRECT ANSWERS Suction machine
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to
clear the client's airway as needed and reduce the risk for aspiration.
A nurse is providing discharge teaching about infection prevention to a client who is receiving
chemotherapy. Which of the following statements by the client indicates understanding of the
teaching? CORRECT ANSWERS "I can ask a friend to change my cats litter box."
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplasmosis. Therefore,
the client should wear gloves or avoid changing the pet's litter box.
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take? CORRECT ANSWERS Check that one finger fits between the
cast and the leg.
Rational:
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 B
QUESTIONS AND CORRECT DETAILED ANSWERS,A COMPLETE
SOLUTION THAT COVERS 2024/2025 BEST RATED TO SCORE A+ FOR
SUCCESS
To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is
not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after
application.
A nurse is performing a preoperative assessment for a client. The nurse should identify that an
allergy to which of the following foods can indicate a latex allergy? CORRECT ANSWERS Avocados
Rational:
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies
to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization
for heart failure. Based on the information in the client's chart, which of the following findings should
the nurse report to the provider? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) CORRECT ANSWERS Heart rate
55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it can
indicate the development of digoxin toxicity. The nurse should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for
the management of bone cancer pain. Thenurse should explain that applying a TENS unit to the
painful area has which of the following effects? CORRECT ANSWERS A tingling sensation replacing
the pain
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasing the current
until the "pins and needles" sensation overrides the pain.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as a componentof Cushing's triad? CORRECT ANSWERS
Bradycardia
Rational:
